Structural Spine Condition

ScoliosisComprehensive Care

Expert treatment for spinal curvature and postural abnormalities. Learn about effective management strategies.

Mild to Severe
Severity
Common
Prevalence
Ongoing Management
Recovery
Structural
Category
Overview

Scoliosis is a three-dimensional spinal deformity characterized by lateral curvature and rotation of the vertebrae. The most common type is adolescent idiopathic scoliosis, which typically develops during periods of rapid growth.

Early detection and appropriate management are crucial for preventing curve progression and maintaining quality of life. Treatment approaches range from observation to bracing to surgical intervention, depending on curve severity and patient factors.

Severity Levels

Mild Scoliosis

10-25 degrees

Symptoms:

  • Usually no symptoms
  • Mild postural changes
  • Occasional back discomfort

Treatment:

Observation and monitoring with regular X-rays

Prognosis:

Excellent with proper monitoring

Moderate Scoliosis

25-40 degrees

Symptoms:

  • Visible spinal curvature
  • Uneven shoulders/hips
  • Back pain and stiffness

Treatment:

Bracing for growing adolescents, physical therapy

Prognosis:

Good with appropriate intervention

Severe Scoliosis

40+ degrees

Symptoms:

  • Significant deformity
  • Breathing difficulties
  • Severe pain and disability

Treatment:

Surgical correction often required

Prognosis:

Good outcomes with surgical intervention

Treatment Phases
1

Observation & Monitoring

Ongoing

Track curve progression and symptoms

Regular X-ray monitoring every 6-12 months
Clinical examination for progression
Postural assessment and education
Activity modification as needed
2

Conservative Management

6 months to 2 years

Prevent progression and improve function

Scoliosis-specific exercise programs
Postural training and ergonomic education
Bracing for adolescent idiopathic scoliosis
Pain management and physical therapy
3

Surgical Intervention

Variable

Curve correction and spinal stabilization

Spinal fusion with instrumentation
Growing rod systems for young patients
Vertebral body tethering (newer technique)
Comprehensive post-operative rehabilitation
Exercise Program

Postural Exercises

Daily

Wall Angels

Arm movements against wall to improve posture

3 sets of 10-15 repetitions

Chin Tucks

Retract chin to strengthen neck muscles

3 sets of 10 repetitions

Thoracic Extension

Extend upper back over foam roller

3 sets, 30-second holds

Core Strengthening

4-5 times per week

Side Planks

Strengthen lateral core muscles

3 sets, 20-45 seconds each side

Bird Dog

Opposite arm and leg extensions

3 sets of 10 each side

Modified Dead Bug

Core stability with limb movements

3 sets of 8-10 each side

Flexibility Training

Daily

Spinal Rotation Stretches

Gentle rotation to maintain mobility

3 sets, 30-second holds each direction

Hip Flexor Stretches

Stretch tight hip flexors

3 sets, 30-second holds each leg

Latissimus Dorsi Stretch

Stretch side muscles of the back

3 sets, 30-second holds each side
Risk Factors

Genetic

Family history of scoliosis
Genetic syndromes
Connective tissue disorders
Neuromuscular conditions

Developmental

Adolescent growth spurts
Female gender (higher risk)
Age 10-15 years
Rapid skeletal growth

Secondary Causes

Leg length discrepancy
Spinal tumors
Infections
Trauma or injury

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